HomeMy WebLinkAbout1240 HOOVER ST; ; CB881092; PermitCl) z 0 j:: ,c cc ,c
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O I hereby afllrm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect. Ltc No _______ Class _____ _
1 hereby affirm !hat I am exempt lrom the Contrac· tor·s License Law for the following reason (Sec. 7031.5
Business and ProfessHJns Code: Any city or county which re-quires a permit to construct, alter, improve, demolish, or
repair any structure. prior to its issuance also requires the ap-pncant for such permit to file a signed statement that he is
licensed pursuant to the provisions ot the Contractor's License Law (Chapter 9 commencing with Section 7000 of
Division 3 of the Business and Professions Code) or that is ex-empt therefrom and the basis for the aUeged exemption. Arry
violation of Section 7031.5 by an applicant for a permit sub-jects the applicant lo a civil penalty of not more than five hun-
dred dollars ($500).
□ I, as owner of the property, or my employees with wages
as their sole compensation, will do the work, and the struc-
ture is not intended or offered tor sa!e {Sec. 7044, Business and Professions Code: The Contractor's License Law does not appty to an owner of property who builds or improves
thereon and who does such work himsetf oc through his own employees. provided that such improvements are not Intend·
ed or ottered for sale. If, however, the building or improve-ment is sold within one year of completion. the owner-builder will have the burden of proving that he did not build or im·
prove for the purpase of sale).
D I. as owner of the property. am exclusivoly contracting with ricensed confr,ctors to construct the project (Sec. 7044.
Business and Professions Code: The ContractO('S license Law does not apply to an owner of property who builds or im• proves thereon, and who contracts tor each projects with a contractor(s) license pursuant to the Contractor's License Law).
D As a homeowner I am Improving my home, and the follow·
ing conditions exist: 1. The work is being performed prior to sale.
2. I have lived in my home for twetve months
3. M:v: :;1~r~::t t1~i: =~pUon during the
last three years.
D lamexemptunderSec. ______ , B&P.C. for this reason ____________ _
D I hereby affirm that I lla.-e a cert1hca1e of consent
to se1t-1nsure. or a cert1t1ca1e ot Workers·
Compensation Insurance. or a cert,t,ea copy I hereof
(Sec 3800. Labo< Code)
POLICY NO ___ _ __ _
COMPANY _________ _
□ Copy IS flied With the Ctly
D Cert1hed copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE
(This section need not be completed 1f the permit 1s tor one hundred dollars ($1001 or less)
D I certify that in the performance ot the wo~ tor which this permit ,s issued. I shall not employ any
person m any manner so as to become sub1ec1 10
the Work.ers' COmpensation Laws of Calltorn,a
NOTICE TO APPLICANT If. after makmJ lh•S Cert1-f1cate of Exemption, you shouk1 t>ecome sub1ec1 ,..,
the Wortters· Compensation provistons ol lhe Labor
Code. you musl lorthw,th comply w11h such pr0\11s1ons or this permit shall be deemed revoked
O I hereby affirm that there 1s a conslruchon
lending agency tor the performance ol the wo"" lor
wn,ch tn1s permit 1s issued tSec 3097. c,-.,11 Code)
Lendel s Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
---·--JOB ADDRESS
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A~i.T•108:;~:~0N1
BUSINESS LICENSE # JtJID7' VALUATION PERMIT NUMBER
b£:>~i,09z, OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE t IPi;,;; 13/nclc.h///?u ~9-¥~2... NuH1,1.l/f /?/<..J1ttb1nc ~uc. l?u.-3o?O
J I I l L~EJ.Ni NO. OWNER'S MAILING AOORESS CONTRACTOR'S ADDRESS
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LOT I BLOCK I SUBDIVISION I ASSESS'!ot,RCP:!:f!S tS::00 DESIGNER
I OESCAl?{ON OF WORK a J_ 'l: wf µ/2 I OESIGNER·s ADDRESS l!j2d:l/t. ·~, ~ Uh:-
CENSUS TRACT LUSE I PARKING SPACE I AES UNITS I
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GRACING ~ERMIT ISSUED
YO ND
F/P F LR ELEV.
vO NO rEOEVELOPMENT REA
vO NO
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STORIES
TYPE
CONST
LICENSE;,
DESIGNER'S PHONE
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FIRE SPA
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PLAN 1.0 . # SLOG use CODE
STANDARD PLAN# BUILDING SO. FOOTAGE
Not Valid Unkss Machine Certified
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QTY. PLUMBING PERMIT· ISSUE QTY. MECHANICAL PERMIT· ISSUE 02 0 rn
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100.000 BTU 01·00·00·8220 m ~
EACH BUILDING SEWER OVER 100.000 BTU 01-00-00-8221 ~ <
EACH WATER HEATER AND/DR VENT BOILER/COMPRESSOR UP TD 3 HP 01-00·00·8806 I
X EACH GAS SYSTEM 1 TD 4 OUTLETS 8DILERICOMPRESSDR 3-15 HP 01-00·00·8222 -;;;:
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE 01-00-00·8223 g Cl)
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT 01-00-00·8224 >-
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS 01·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
EACH ROOF DRAIN (INSIDE) I II I I I ~OLAR 01-00-00·822!;
. _, TOT J;L MECHANICAL STRONG MOTION 80·92-33-0519
TOTAL PLUMBING 1 7r::5 FIRE SPRINKLERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT· ISSUE /' 611)-V QTY. I SOLAR· ISSUE
PUBLIC FACILITIES FEE 32·00·00-8923
BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92-21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92·22·0519
1 PH 3 PH PUMP San Dieguito 80·92-23-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
TEMPPOLE 200AMPS
OVER 200 AMPS T-?27'-
TEMP OCCUPANCY 130 DAYS)
TOTAL ELECTRICAL l TOTAL SOLAR TOTAL FEES PAYABLE 1 /o -----
1 HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT' ANO 00 HEREBY Expiration Every perm1t1aauedbytt>eButldtngQtfocialundertheprov,a,onsolth1s
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by ltmrtatlon 111\d become null and vo,d II the bullding or work
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authonzed by such permit II not commenced w,ttun 180 days from the date of such
ISSUED: TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON permit. or if th• buoldo~ or work aulnorozed by such permit II suspended or
* AN OSHA PERMIT IS R£QUIREO FOfl EXCAVATIONS OVER
5' O" DEEP ANO DEMOLITION OR CONSTRUCTION OF
STAUCl\JAES OVER 3 STORIES IN HEIGHT
AP~~ 1°il,1rr
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AN~ abandcned at an tima a er tile work II commenced for a rood of 180 d ·
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO AP ANT'S SIG~NATU~RE • ~ OWNER O CONTRACTO~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH /)<'_ ~ £/.· ~
GRANTING OF THIS PERMIT ~f'(.. /' ~~df'.~./ 1
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INSPECTION TYPE I DATE INSPECTOR ,-.. --
' ~':.
BUILDING I
FIELD INSPECTION RECORD
FOUNDATION
REINFORCED STEEL ' .. -REQUIRED SPECIAL INSPECTIO NS IN SPECTOR'S NOTES
I REQ. IF INSPECTOR'S MASONRY INSPECTION DATE CHECKED APPROVAL .
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME ' PRIOR TO
FOUNDATION INSP
SHEATHING !
I STRUCTURAL CONCRETE
FRAME OVER 2000 PSI .
EXTERIOR LATH lNSULATION PRESTRESSED . CONCRETE I
INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE I PLUMBING FIELD WELDING
. r, --
SEWER AND BL/CO HIGH STRENGTH
fttUMBING UNDERGROUND BOLTS '
PLUMBING TOP OUT SPECIAL MASONRY .
1·
T~B AND $HOWER PAN /? /I -.i 4
GAS TEST ~ I. /9-~ J K--<-~ "V t-'tCES CAISSONS 7~
ELECTRICAL -u . Q o. . " .,.-·~
TEMPORARY POWER ~.; c·:~
Q "" .
ELECTRIC UNDERGROUND . ~ " ,. .,-. C· ~ ~ . ~ , -e c>&. q., ..
ROUGH ELECTRIC . ... ~ ~~ ' .. . .. 6 ~ ,.-1_
ELECTRIC SERVICE (",-}~ v < .. ~-~
-~ 1£1~1N' ... ... ~. -' j '•,
BONDING . ~~ -P~_'-t,t.1','j 11,)l;\H;!~ l~IOQJ; ~U
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G. F. I. -SMOKE DETECTOR .: ~~-MECHANICAL C .
( . ...,,,,
DUCT & PLEM., REF. PIPING -·
iO)
HEAT -AIR COND. -SOLAR SYSTEMS .
VENTILATING SYSTEMS
. -
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ~ < -
ITEMS ABOVE HAVE BEEN APPROVED. -
JOB SITE FINAL ~ ... ~ ✓• -" . . ~ -.. -C -
(J -, 7 -. f7 J'!,r~ -~ ' -~
PLUMBING . --.. ., ,:-..
ELECTRICAL t' J ' . \1• . i
MECHANICAL . ·• I
GAS . ,.. .. • ,,.
~ . ,-
BUILDING • -SPECIAL CONDITIONS : ... '
CERT OF OCCUPANCY ISSUED ' • ' '• ' rrrr, '-f .... : I 1